Overview
The National Institute for Occupational Safety and Health (NIOSH) is coordinating with other parts of the U.S. Centers for Disease Control and Prevention (CDC) to address national health needs associated with preventing the spread of H1N1 flu virus and providing information to workers and employers. NIOSH provides technical guidance for workers, including health-care and transportation workers, for whom job-related questions about exposure or infection may be an occupational concern.
H1N1 Spotlights:
University of New South Wales (MacIntyre) Study on Healthcare Worker Respirator Use
Results of a randomized trial of health care personnel respirator use were presented by The University of New South Wales (Australia) group (MacIntyre and colleagues) at the Infectious Diseases Society of America (IDSA) meeting October 31.Read statement about the study
NIOSH Statement: The Risk of Serious Illness Among Healthcare Personnel Associated with 2009 H1N1 Influenza
NIOSH is working with its partners to gather more information about deaths and serious illness among healthcare personnel associated with 2009 H1N1 influenza. Read the full statement
Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel, Updated 10/14/09
CDC has released updated interim guidance on infection control measures to prevent transmission of 2009 H1N1 influenza in healthcare facilities. The updated guidance applies uniquely to the special circumstances of the current 2009 H1N1 pandemic and will be updated as necessary as new information becomes available throughout the course of this influenza season. It provides general guidance for all healthcare facilities.
NIOSH Science Blog: N-95 Respirators and Surgical Masks
The emergence of H1N1 has created considerable interest about the use of surgical masks and respirators as infection control measures. Given the recent issuance of revised CDC infection control guidance for healthcare personnel that include recommendations for use of N-95 respirators, NIOSH has posted a new blog that examines the scientific principles behind the design and performance of these devices. Read more and comment on the NIOSH Science Blog.
Resources for All Workplaces
CDC H1N1 Flu Resources for Businesses and Employers
Provides guidance documents and other resources for businesses, employers, and employees.
CDC Guidance for Businesses and Employers To Plan and Respond to the 2009–2010 Influenza Season
Recommends actions that non-healthcare employers should take now to decrease the spread of seasonal flu and 2009 H1N1 flu in the workplace. Provides recommendations to help maintain business continuity during the 2009–2010 flu season.
CDC Preparing for the Flu: A Communication Toolkit for Businesses and Employers
Provides information and communication resources to help businesses and employers implement the CDC business guidance.
CDC H1N1 Preparedness Guide for Small Businesses
Occupational Safety and Health Administration (OSHA) Employer Guidance: Reducing All Workers’ Exposures to the 2009 H1N1 Flu
External Link: http://www.osha.gov/h1n1/nonhealthcare.html
OSHA Worker Guidance: Precautions for All Workers During the 2009-2010 Flu Season
External Link: http://www.osha.gov/h1n1/protectyourself_nonhealthcare.html
University of Minnesota Center for Infectious Disease Research and Policy (CIDRAP) Doing Business During an Influenza Pandemic (Toolkit)
PDF Only (42 pages, 716KB)
External Link: http://www.cidrap.umn.edu/cidrap/files/33/cidrap-shrm-hr-pandemic-toolkit.pdf
Resources for Healthcare and Laboratory Workers
NIOSH Statement: The Risk of Serious Illness Among Healthcare Personnel Associated with 2009 H1N1 Influenza
NIOSH and its partners are engaged in surveillance activities to better understand the factors that may heighten the risk of severe work-related 2009 H1N1 infection among healthcare personnel, as well as identify the factors which affect risk of transmission of 2009 H1N1 influenza to healthcare personnel.
CDC Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel
Questions and Answers about CDC’s Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel
CDC Q&A: Regarding Respiratory Protection for Infection Control Measures for 2009 H1N1 Influenza among Healthcare Personnel
OSHA Employer Guidance: Reducing Healthcare Workers’ Exposure to the 2009 H1N1 Virus
External Link: http://www.osha.gov/h1n1/healthcare.html
OSHA Worker Guidance: Precautions For Healthcare Workers during the 2009-2010 Flu Season
External Link: http://www.osha.gov/h1n1/protectyourself_healthcare.html
Statement by Acting Assistant Secretary of Labor for OSHA Jordan Barab re: H1N1-related Inspections
External Link: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=NEWS_RELEASES&p_id=16602
Institute of Medicine (IOM) of the National Academies: Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A
Presents the conclusions and recommendations regarding the necessary respiratory protection for healthcare workers from the IOM Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A.
External Link: http://www.iom.edu/Reports/2009/RespProtH1N1.aspx
CDC Considerations for Pregnant Women who are More likely to be Exposed to H1N1 Flu at Work
CDC Interim Guidance for Emergency Medical Services Systems and 9-1-1 Public Safety Answering Points for Management of Patients with Confirmed or Suspected Swine-Origin Influenza A (H1N1) Infection
CDC Interim Biosafety Guidance for All Individuals handling Clinical Specimens or Isolates containing 2009-H1N1 Influenza A Virus (Novel H1N1), including Vaccine Strains
CDC MMWR article: Novel Influenza A (H1N1) Virus Infections Among Health-Care Personnel---United States, April--May 2009
Protecting home health care workers: a challenge to pandemic influenza preparedness planning Baron S, McPhaul K, Phillips S, Gershon R, Lipscomb J [2009]. Am J Publ Health Oct; 99(S2):S301-S307.
CDC Clean Hands Save Lives - Protect patients, protect yourself (poster)
PDF Only (1pg. 44KB)
CDC Cover your cough - Poster for health-care settings
PDF Only (1pg. 168KB)
Respiratory Protection
NIOSH Respirator Trusted-Source Information Page
This information may be regarded as a trusted source to verify which respirators are approved by NIOSH, how to get them and how to use them.
CDC Q&A: Regarding Respiratory Protection for Infection Control Measures for 2009 H1N1 Influenza among Healthcare Personnel
Institute of Medicine (IOM) of the National Academies: Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A
Presents the conclusions and recommendations regarding the necessary respiratory protection for healthcare workers from the IOM Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A.
External Link: http://www.iom.edu/Reports/2009/RespProtH1N1.aspx
CDC Interim Recommendations for Facemask and Respirator Use to Reduce Influenza A (H1N1) Virus Transmission
NIOSH Topic Page: Respirators
OSHA Safety and Health Topic: Respiratory Protection 
CDC General Procedures for Properly Putting on and Taking Off a Disposable Respirator
Poster containing step by step instructions for donning, fit checking and doffing a disposable respirator.
PDF Only (1pg. 2947KB)
En Español
CDC Podcast: General Instructions for Disposable Respirators
Intended for the general public, demonstrates how to put on and take off disposable respirators that are to be used in areas affected by influenza outbreak.
CDC Podcast: Use of Facemasks and Respirators
Demonstrates the differences of facemasks and respirators that are to be used in public settings during an influenza pandemic.
CDC Resources for Transportation Workers
Air Crew Guidance
Guidance for airlines regarding flight and cabin crews arriving from areas affected by novel influenza A (H1N1) influenza.
Cruise Ship Guidance
Guidance for crew members and passengers of cruise ships to reduce their risk of exposure to novel influenza A (H1N1) influenza.
Resources for Swine Workers
CDC Interim Guidance for Workers Employed at Commercial Swine Farms: Preventing the Spread of Influenza A Viruses, Including the 2009 H1N1 Virus
CDC Interim Guidance for People who have Close Contact with Pigs in Non-commercial Settings: Preventing the Spread of Influenza A Viruses, Including the Novel Influenza A (H1N1) Virus
CDC 2009 H1N1 in Animals
CDC/USDA Fact Sheet: What Pork Producers and Workers Need to Know About Influenza (Flu) in Pigs and People
PDF Only (3 pg. 185KB)
National Pork Board H1N1 Influenza Biosecurity Recommendations for Producers
PDF Only (3 pg. 63KB)
Pandemic influenza and farmworkers: the effects of employment, social, and economic factors
Steege AL, Baron S, Davis S, Torres-Kilgore J, Sweeney MH [2009]. Am J Publ Health Oct; 99(S2):S308-S315
Pandemic Influenza Workplace Resources
Flu.gov 
U.S. Government site for H1N1, avian, and pandemic resources.
HHS Workplace Pandemic Planning Resources 
HHS Interim Guidance on Planning for the Use of Surgical Masks and Respirators in Health Care Settings during an Influenza Pandemic 
HHS Interim Guidance on Environmental Management of Pandemic Influenza Virus 
Includes tips for cleaning healthcare facilities, homes, schools, and businesses.
HHS Transportation Industry Guidance 
Psychological and Social Support for Essential Service Workers During an Influenza Pandemic
The Department of Health and Human Services (HHS) is updating its Pandemic Influenza Plan (including supplements) based on the policy and planning advances that have taken place since 2005 (http://www.hhs.gov/pandemicflu/plan/#part2). Given the concerns expressed with the current H1N1 outbreak in multiple countries, this "CDC Interim Guidance on Psychological and Social Support for Essential Service Workers During an Influenza Pandemic" is being posted here to assist preparedness efforts for workers and employers. This guidance is being scheduled to replace (revise) the current Supplement 11 for the HHS Pandemic Influenza Plan (http://www.hhs.gov/pandemicflu/plan/sup11.html). This guidance has been updated to include HHS resources developed since 2005 and to take into account lessons learned from public health responses to diseases outbreaks and natural disasters (e.g., hurricanes, wildfires, and floods). It includes information on workforce resiliency programs and on organizational factors that affect workforce performance and well-being. The bibliography, checklist, and list of psychological and social support services have been updated, and a new Leadership Self-Assessment Tool has been added to help employers of essential service workers develop plans for ensuring the availability of workforce support services during an influenza.
PDF Only (30 pg.203KB)
HHS Webcast: Workplace Pandemic Preparation 
Related NIOSH Safety and Health Topics
Aerosols
Agriculture
Avian Influenza
Eye Protection for Infection Control
Emergency Response Resources
Health Care Workers
Protective Clothing
Respirators
Severe Acute Respiratory Syndrome (SARS)
Understanding Respiratory Protection Against Severe Acute Respiratory Syndrome (SARS)
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